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Idaho rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.03 / $44.52 / $44.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.89 / $36.33 / $36.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $55.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $35.81 / $50.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $48.30 / $50.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $37.99 / $45.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.52 / $49.65 / $74.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $36.86 / $53.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $26.84 / $27.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $23.21 / $35.78